Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities
Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Jornal de Pediatria |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755725000853 |
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| author | An Dai Tran Charuai Suwanbamrung Muhammad Haroon Stanikzai Nirachon Chutipattana Shamarina Shohaimin Patthanasak Khammaneechan Le Minh Luan Tran Phu Dien Truong Thanh Nam Phan Thanh Tung Cua Ngoc Le |
| author_facet | An Dai Tran Charuai Suwanbamrung Muhammad Haroon Stanikzai Nirachon Chutipattana Shamarina Shohaimin Patthanasak Khammaneechan Le Minh Luan Tran Phu Dien Truong Thanh Nam Phan Thanh Tung Cua Ngoc Le |
| author_sort | An Dai Tran |
| collection | DOAJ |
| description | Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study assessed the extent of parental adherence to age-appropriate childhood vaccination and its predictors among the minority children under five years of age. Methods: This cross-sectional study was conducted in three districts of Dong Thap Province, Vietnam, and neighboring Cambodia. A total of 449 ethnic minority parents with children under five years old participated. Data were gathered through face-to-face household interviews using a structured questionnaire, complemented by direct observation of the children’s vaccination cards to verify adherence. Binary logistic regression was used to identify predictors of vaccination adherence. Results: The adherence rate to childhood vaccination among children in the minority population was 18.9 %. Parental adherence was significantly higher for children under one year of age (aOR = 2.54, 95 % CI: 1.29–5.03) and for firstborn children (aOR = 3.48, 95 % CI: 1.36–9.92). Within the Health Belief Model framework, greater perceived barriers were associated with lower adherence (aOR = 0.32, 95 % CI: 0.21–0.49), while higher parental self-efficacy was linked to increased adherence (aOR = 1.84, 95 % CI: 1.11–3.11). Conclusion: This study revealed a low parental adherence rate (18.9 %) to childhood vaccination. A child’s age, birth order, perceived barriers, and parental self-efficacy influenced adherence. These findings emphasize the need to incorporate these factors into targeted policies and interventions for improving immunization rates in minority populations and comparable settings. |
| format | Article |
| id | doaj-art-e6d10f9e6a4a4ff9aa651c869ca7d48b |
| institution | Kabale University |
| issn | 0021-7557 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj-art-e6d10f9e6a4a4ff9aa651c869ca7d48b2025-08-20T03:49:55ZengElsevierJornal de Pediatria0021-75572025-07-01101464265010.1016/j.jped.2025.04.005Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communitiesAn Dai Tran0Charuai Suwanbamrung1Muhammad Haroon Stanikzai2Nirachon Chutipattana3Shamarina Shohaimin4Patthanasak Khammaneechan5Le Minh Luan6Tran Phu Dien7Truong Thanh Nam8Phan Thanh Tung9Cua Ngoc Le10Walailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Dong Thap Provincial Center for Disease Control, Dong Thap, VietnamWalailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Walailak University, Excellent Center for Public Health Research (EC for PHR), Nakhon Si Thammarat, ThailandWalailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Kandahar University, Faculty of Medicine, Department of Public Health, Kandahar, AfghanistanWalailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Walailak University, Excellent Center for Public Health Research (EC for PHR), Nakhon Si Thammarat, ThailandUniversiti Putra Malaysia, Faculty of Science, Department of Biology, Selangor, MalaysiaWalailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Walailak University, Excellent Center for Public Health Research (EC for PHR), Nakhon Si Thammarat, ThailandDong Thap Medical College, Dong Thap, VietnamDong Thap Medical College, Dong Thap, VietnamCan Tho University of Medicine and Pharmacy, Faculty of Public Health, Can Tho City, VietnamDong Thap Provincial Center for Disease Control, Dong Thap, VietnamWalailak University, School of Public Health, Public Health Research Program, Nakhon Si Thammarat, Thailand; Walailak University, Excellent Center for Public Health Research (EC for PHR), Nakhon Si Thammarat, Thailand; Corresponding author.Objectives: Suboptimal timeliness and coverage of childhood vaccination programs undermined their effectiveness in achieving population-level immunity. This issue is particularly concerning among minority populations, where disparities in vaccination adherence persist. To address this gap, the study assessed the extent of parental adherence to age-appropriate childhood vaccination and its predictors among the minority children under five years of age. Methods: This cross-sectional study was conducted in three districts of Dong Thap Province, Vietnam, and neighboring Cambodia. A total of 449 ethnic minority parents with children under five years old participated. Data were gathered through face-to-face household interviews using a structured questionnaire, complemented by direct observation of the children’s vaccination cards to verify adherence. Binary logistic regression was used to identify predictors of vaccination adherence. Results: The adherence rate to childhood vaccination among children in the minority population was 18.9 %. Parental adherence was significantly higher for children under one year of age (aOR = 2.54, 95 % CI: 1.29–5.03) and for firstborn children (aOR = 3.48, 95 % CI: 1.36–9.92). Within the Health Belief Model framework, greater perceived barriers were associated with lower adherence (aOR = 0.32, 95 % CI: 0.21–0.49), while higher parental self-efficacy was linked to increased adherence (aOR = 1.84, 95 % CI: 1.11–3.11). Conclusion: This study revealed a low parental adherence rate (18.9 %) to childhood vaccination. A child’s age, birth order, perceived barriers, and parental self-efficacy influenced adherence. These findings emphasize the need to incorporate these factors into targeted policies and interventions for improving immunization rates in minority populations and comparable settings.http://www.sciencedirect.com/science/article/pii/S0021755725000853Immunization coverageParents/psychologyHealth belief modelMinority groups |
| spellingShingle | An Dai Tran Charuai Suwanbamrung Muhammad Haroon Stanikzai Nirachon Chutipattana Shamarina Shohaimin Patthanasak Khammaneechan Le Minh Luan Tran Phu Dien Truong Thanh Nam Phan Thanh Tung Cua Ngoc Le Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities Jornal de Pediatria Immunization coverage Parents/psychology Health belief model Minority groups |
| title | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_full | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_fullStr | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_full_unstemmed | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_short | Parental predictors of childhood vaccination adherence in border areas of Southern Vietnam: a first look at minority communities |
| title_sort | parental predictors of childhood vaccination adherence in border areas of southern vietnam a first look at minority communities |
| topic | Immunization coverage Parents/psychology Health belief model Minority groups |
| url | http://www.sciencedirect.com/science/article/pii/S0021755725000853 |
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